本研究以訪談文本的整理、分析與討論，幫助讀者能了解慢性病老年人災難衝擊與壓力因應之經驗，並希望藉由本研究提供罹病與遭遇災難之老年人、心理諮商實務工作者、後續研究者若干建議與參考。
關鍵字：莫拉克風災、慢性病、老年人、災難、壓力因應
Abstract
This research aimed to explore disaster impacts and stress copes among chronically ill elderly who suffered from Morakot typhoon. There were several the research questions the present study investigated：
1. How their illness experience and pressure due to Morakot typhoon?
2. What were their experience of physical and mental pressures from Morakot typhoon?
3. What were their stress coping experiences due to Morakot typhoon?
This study used the narrative research method holistic- content analysis data. We targeted three elderly and analyzed the narrative of their experience from Morakot typhoon.
Our findings showed that:
1. Their illness experiences and pressures from the typhoon disaster included: life being under tremendous threat, physical discomfort, feeling guilty for the dependency, losing, limitied behaviors and their inclination to ascribe the disease causes to the destiny.
2. The disaster pressures on their physical and mental health were:
（1）The impulsion experiences of the disaster included: once dying situation, physical or mental sufferers, become traumatized survivor, the loneliness and hardships on the road of reconstruction, trauma becoming a part of life.
（2）The inherent experience included: loss of sense of security and trust, the disorder of the physical and mental status and function, low self-esteem and self-worth.
3. The elderly with chronic disease can alleviate the pain from the support and comfort of their friends and families, fight against the coming death despite of their destiny and cope with the disaster pressures by the life beliefs and philosophy.
This study used interviewing and then analyzing the narrative of interviewee’s experience will help understand the impacts and stress due to the disaster among the elderly with chronic illnesses. The results will serve as preliminary findings for future research and provide fundamental understanding for clinical practitioners.
